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Showing papers in "The Journal of Urology in 1976"


Journal ArticleDOI
TL;DR: Although the findings are still preliminary, they appear to hold promise of a new therapeutic approach to the treatment of a group of neoplasms for which effective therapy is still lacking.

1,451 citations



Journal ArticleDOI
TL;DR: The identification of carcinoma in situ and/or atypia in normal, incidentally resected mucosa adjacent to the tumor was found to be a positive predictor for subsequent muscle invasion in low grade, low stage transitional cell carcinoma of the bladder.

415 citations


Journal ArticleDOI
TL;DR: It is suggested that hematoporphyrin derivative could be used as an aid to the diagnosis and treatment of carcinoma of the bladder.

358 citations


Journal ArticleDOI
TL;DR: This technique has been uniformly successful in virginal cases and in the great majority of the least favorable cases, after repeated failures, because of adequate mobilization proper placement of sutures and prevention of compression and surgical damage.

264 citations


Journal ArticleDOI
TL;DR: Based on the prospective data generated in this study lymphatic metastasis appears to be an early event in the spread of prostatic cancer.

252 citations


Journal ArticleDOI
TL;DR: In this article, a non-sterile technique of intermittent self-catheterization was used for 218 patients with an inability to void in a normal fashion because of obstructive uropathy, decompensated detrusor or neurogenic bladder.

212 citations


Journal ArticleDOI
TL;DR: These studies refute the notion of the silent staghorn calculus and demonstrate that operative removal is safer for the patient and kidney.

174 citations


Journal ArticleDOI
TL;DR: A clinical approach to the diagnosis and management of non-testicular intrascrotal masses is presented and tumors of these structures are often misdiagnosed.

162 citations


Journal ArticleDOI
TL;DR: Theoretical and experimental considerations indicate the reflux of infected urine as the etiology of the renal deterioration and the unacceptably high rate of renal deterioration in children at the Massachusetts General Hospital is indicated.

157 citations


Journal ArticleDOI
TL;DR: The structure and ultrastructure were studied from cases of congenital ureteroplevic junction obstructions and primary obstructive megaureters and there were consistent abnormalities: excessive collagen fibers between and around the muscle cells and a group of compromised muscle cells proximal to the collagenous segment.

Journal ArticleDOI
TL;DR: Urethrectomy to include a fossa navicularis and glandular meatus at the time of cystectomy seems justified as a definitive means of guarding against the often asymptomatic and potentially lethal urethral occurrences of transitional cell carcinoma.

Journal ArticleDOI
TL;DR: Lesions appeared with equal frequency during the entire followup period, whereas urinary infection was more common in the 5-year period after diagnosis, andRenal damage was more likely to occur in kidneys that were already abnormal.

Journal ArticleDOI
TL;DR: The omentum is unique in that it is the only body tissue specifically developed for the resolution of infected process; it also regains its suppleness once healing has taken place.

Journal ArticleDOI
TL;DR: Internal stent diversion offers advantages in managing patients whose ureters are obstructed by malignancy and endoscopic placement of the ureteral stent is associated with less morbidity and mortality than supravesical diversion.

Journal ArticleDOI
TL;DR: Cystometry was performed on 94 consecutive patients with benign prostatic hypertrophy or bladder neck obstruction, 45 per cent of whom had detrusor hyperreflexia, and 21 patients were re-examined 6 months postoperatively and 62% had regained normal bladder function.

Journal ArticleDOI
TL;DR: An intra-abdominal testis in a child with prune belly syndrome was successfully transplanted to the scrotum by a microvascular technique and its application to orchiopexy.

Journal ArticleDOI
TL;DR: Two phenotypically normal pre-adolescent brothers with bilateral undescended testes were found to have bilateral fallopian tubes, a uterus and a vagina that drained into the prostatic utricle, and some insight into the pattern of inheritance was gained.

Journal ArticleDOI
TL;DR: A plan of management has evolved, which is based on retroperitoneal lymph node dissection followed by the judicious use of adjuvant chemotherapy and radiation therapy as determined by pathologic findings.

Journal ArticleDOI
TL;DR: In this paper, a method is described for determining effective renal plasma flow, using the renal counts 1 to 2 minutes after injection and applying background subtraction as a ratio to the total amount of radioactivity injected intravenously with appropriate correction for kidney depth.

Journal ArticleDOI
TL;DR: The ultrastructure of urethral stricture tissue has revealed features that suggest why some strictures are fibrous and others resilient, and the role of extravasation of urine in the pathogenesis of UREs is indicated.

Journal ArticleDOI
TL;DR: Preoperative radiotherapy followed by simple total cystectomy and urinary diversion in a small number of patients with stages B2 and C lesions resulted in a 5-year survival rate in excess of 34 per cent, encouraged by this finding and believe that combination therapy warrants further clinical trial.

Journal ArticleDOI
TL;DR: The external sphincter spasticity syndrome is described with regard to diagnosis, etiology, pathophysiology and treatment and is considered to be much more common than perviously reported.

Journal ArticleDOI
TL;DR: The pertinent literature on fungal urinary tract infections is reviewed, with emphasis on the predisposing factors, pathogenesis, host defense mechanisms and the clinical spectrum of the disease.

Journal ArticleDOI
S.A. Awad1, J. Downie1, D.W. Lywood1, R.A. Young1, Stanley Jarzylo1 
TL;DR: It was concluded that the sympathetically innervated smooth muscle exerts a certain activity along the whole length of the proximal urethra, including the peak pressure zone in the male patient.

Journal ArticleDOI
TL;DR: Renal function was salvaged by arterial reconstruction in 2 cases, 12 hours and 5 months after injury respectively, andpertension developed in 50 per cent of the cases and was generally mild.

Journal ArticleDOI
Horst Zincke1, Juan J. Aguilo1, George M. Farrow1, David C. Utz1, Ansar U. Khan1 
TL;DR: Cytologic study of urine from 100 patients with transitional cell cancer of the upper urinary tract revealed that findings on the voided and catheterized specimens correlated well with grade and stage of the tumor, but there was a significantly greater positive yield with urine specimens obtained by ureteral catheterization than by voiding.

Journal ArticleDOI
TL;DR: In a comparison of children with acute hemorrhagic cystitis it was noted that 51 per cent of those in Sendai, Japan and 23 per cent in Chicago, Illinois had adenoviruria during their illness.

Journal ArticleDOI
TL;DR: Repeat transurethral biopsy is helpful in defining the extent of stage A disease and formulating a rational plan of therapy.

Journal ArticleDOI
TL;DR: The high incidence of local recurrence noted for all forms of single modality therapy suggests the need for clinical trials with combination preoperative irradiation followed by definitive surgical procedures.